儿童和青少年癌症治疗患者的长期护理
Emily S Tonorezos1, Richard J Cohn2, Adam W Glaser3
1Office of Cancer Survivorship, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD, USA.
Lancet (London, England)
|April 17, 2022
概括
儿童癌症幸存者面临重大长期健康风险和护理转型挑战. 改善幸存者的结果需要解决知识差距,并加强对晚期出现的副作用的护理协调.
科学领域:
- 癌症学
- 关于幸存者的照顾
背景情况:
- 在儿童癌症治疗方面取得的进步增加了成年幸存者的数量.
- 这种不断增长的人口面临着晚期出现的健康问题和过早死亡的高风险.
- 障碍包括提供者/幸存者的知识差距和分散的护理转变.
研究的目的:
- 突出儿童和青少年癌症的健康风险和护理挑战.
- 强调需要在过渡到成人医疗保健期间改善护理协调和支持.
- 确定可以帮助提供者管理长期生存护理的资源.
主要方法:
- 对癌症治疗对幸存者的晚期影响的现有文献的审查.
- 分析儿童癌症幸存者转移到成人护理环境中的挑战.
- 确定幸存者护理的最佳做法和资源.
主要成果:
- 儿童癌症幸存者容易出现各种晚期副作用 (心脏,内分泌,肺,生育,脏,心理,认知,社会发展).
- 关怀协调和过渡到成年人关怀面临重大挑战.
- 有效的沟通和自我管理支持可以赋予幸存者权力并改善结果.
结论:
- 儿童癌症的成年幸存者需要专业,持续监测晚期发生的治疗效应.
- 促进顺利过渡到成人护理对于长期健康管理至关重要.
- 监视指南和网络支持等资源对提供者和幸存者来说至关重要.
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